Oireachtas Joint and Select Committees

Thursday, 30 May 2019

Working Group of Committee Chairmen

Public Policy Matters: Discussion

Photo of Leo VaradkarLeo Varadkar (Dublin West, Fine Gael) | Oireachtas source

I thank the Deputies for their contributions. Deputy Fleming's suggestion is one worth considering. It is something we considered at the time of developing Project Ireland 2040 and decided not to go for it. Australia has such a body, Infrastructure Australia, a government agency tasked with overseeing and driving all its major infrastructure projects. It is an idea that is worth dusting down and looking at again. I would throw in two caveats. The roads programme, the schools programme and the Irish Water programme are all proceeding on time and on budget; so if it ain't broke, don't fix it. Capital projects are being delivered on time and within budget in plenty of areas.

I was Minister for Health when we agreed to go ahead with the national children's hospital. We decided to set up a dedicated agency and board with expert staff to ensure it was done properly. I wonder if we had taken the other route and allowed HSE estates to do the job, whether the job would have been done just as well or even better. While the HSE comes in for considerable criticism when it comes to new hospitals, new hospital wings and primary care centres, it does them pretty well. While it is not a bad idea, I am not sure if it is a panacea.

Deputy Harty asked about a transition fund. We would agree that reforming the health service will cost money and that cannot come out of the day-to-day spend because that has to be spent anyway. In the health service we need to invest to spend, or spend to save as some people say. I would argue we have a transition fund already; we just do not tot it all up and call it a transition fund. The €80 million a year that is set aside for investment in ICT is a transition fund. The capital budget, which is now about €700 million a year for new buildings, is also transitional funding, as is the new money for general practice, particularly for the new treatments - the chronic disease funds. To me all those things are transition. We just do not tot them up and call it the Sláintecare transitional fund. We could do that but would that not be just an accounting exercise? Obviously people can also bid for the €20 million fund if they have particular ideas. I would argue that we have it already; we just do not tot it up and account for it that way, but maybe we should.

I will need to come back to Deputy Ó Caoláin with answers to his questions. I thank him for his kind words about Philip O'Callaghan. We want to sign the optional protocol but we are not ready yet. I will come back to the Deputy on the Disability (Miscellaneous Provisions) Bill.

I was across the in loco parentisrule about six months or a year ago but I am not up-to-date on it now. I heard the comments made by the Jack and Jill Children's Foundation, in particular. I have met constituents who have been affected by this. It may be one of those things done with the best intentions but it has not passed the common sense test. I will make sure we come back to the Deputy on all three of his questions.

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